Wheelchair accessory, power seating system, recline only, without shear reduction
HCPCS code
Name of the Procedure:
Common Name: Power Recline Wheelchair Accessory
Technical Term: Wheelchair Accessory, Power Seating System, Recline Only, Without Shear Reduction (HCPCS Code: E1003)
Summary
A power recline wheelchair accessory allows the seat back of a power wheelchair to move backward, providing the user with the ability to recline. This accessory does not include shear reduction, which means it simply tilts back without mechanisms to minimize the relative movement between the user's body and the seat.
Purpose
This accessory is designed to enhance comfort, provide pressure relief, and improve seating tolerance for individuals who use power wheelchairs. It helps in redistributing weight to prevent pressure ulcers and offers a means to rest and relax while remaining in the wheelchair.
Indications
- Individuals with limited mobility who use power wheelchairs.
- Patients at risk of pressure ulcers or who require frequent changes in position for comfort.
- Users who need to recline for medical reasons, such as improving circulation or respiratory function.
Preparation
No specific preparation is needed for the user once the wheelchair accessory is installed. However, a seating assessment by a healthcare professional is recommended to ensure the proper configuration for the user's needs.
Procedure Description
- Installation: The power recline accessory is installed onto the user's existing power wheelchair by a rehabilitation technician.
- Adjustments: A healthcare provider, such as an occupational therapist, may make necessary adjustments to the recline system for optimal user comfort and functionality.
- Operation:
- The user operates the recline feature using a control interface, which may be a joystick or a button.
- The back of the wheelchair seat moves backward to the desired angle.
- Users can stop and hold the recline position at any angle within the device's range.
Duration
Installation and adjustments may take approximately 1-2 hours. The operation of the recline feature itself takes a few seconds to achieve the desired position.
Setting
The installation and adjustments are typically performed in a clinical setting, such as a rehabilitation center, outpatient clinic, or the user’s home if home services are provided.
Personnel
- Rehabilitation technicians for installation.
- Occupational therapists for adjustments and user training.
- The user's regular health care provider may be involved for approval and monitoring.
Risks and Complications
- Mechanical failure: Potential for malfunction, though rare with regular maintenance.
- Discomfort: Improper use or angle might lead to discomfort.
- Skin integrity issues: Without shear reduction, there's a minor risk of skin friction.
Benefits
- Improved Comfort: Provides a more comfortable seating position.
- Pressure Relief: Helps in preventing pressure ulcers by redistributing weight.
- Enhanced Independence: Allows the user to change positions independently.
Recovery
No recovery time is needed. Users can immediately benefit from the recline feature once it’s installed and operational.
Alternatives
- Manual Recline Wheelchair: Requires physical effort by the user or caregiver.
- Power Recline with Shear Reduction: More advanced option with additional benefits, such as minimizing skin friction.
- Dynamic Positioning Wheelchairs: Offering multiple sequencing positions but may be more expensive.
Patient Experience
- During Operation: The user will feel the seatback gently moving backward as they control the recline function.
- Post-Procedure: Enhanced comfort and reduced need for manual repositioning by caregivers. Users should be educated on proper usage and schedule regular maintenance to ensure the accessory remains functional.